Miniperc Surgery for Kidney Stones in South Delhi

About Mini Perc Surgery in South Delhi - A Minimally Invasive Stone Removal

Mini Perc (Mini PCNL) is an advanced procedure used to remove medium to large kidney stones that may not pass naturally or respond to medicines. Patients often experience persistent back pain, recurrent urinary infection, or blockage when such stones remain untreated. For those considering Mini Perc surgery in South Delhi, the treatment focuses on clearing the stone safely while minimizing discomfort. 

At MASSH Hospital, the urology team evaluates the size and location of the stone through appropriate investigations and then performs the procedure using a very small skin puncture to access the kidney and break the stone into tiny fragments for removal. Because the incision is minimal, patients usually experience less pain, a shorter hospital stay, and quicker recovery compared to conventional surgery. Along with treatment, doctors also guide patients on hydration and dietary precautions to help reduce the chances of stones forming again.

Mini Perc Procedure at MASSH Hospital, South Delhi

Step 1:  Anaesthesia: General anaesthesia ensures patient comfort and safety throughout.
Step 2: Positioning: Most cases are performed in the prone position, with supine access as an option.
Step 3: Retrograde Catheterization: A ureteric catheter is inserted to assist in contrast imaging of the urinary tract.
Step 4 : Percutaneous Access: A tiny skin incision allows insertion of a guidewire and sheath into the kidney.
Step 5: Stone Fragmentation: Miniature nephroscopes with laser or ultrasonic devices break the stones into pieces.
Step 6: Stone Retrieval: Stone fragments are cleared with suction or specialized baskets.
Step 7: Drainage: A temporary nephrostomy tube or DJ stent may be placed to support drainage, depending on the findings.

Before the Surgery: Patient Preparation

• Imaging: CT KUB or ultrasound helps assess stone size, density, and position.
• Laboratory Tests: Blood work and urine culture are checked for infections or metabolic issues.
• Medication Review: Anticoagulants and blood thinners are stopped prior to surgery as advised.
• Fasting: A fasting period of 6–8 hours before anaesthesia is required.
• Consent: Detailed discussion regarding procedure, alternatives, and possible complications is done with the patient.

During the Surgery: What Happens in MiniPerc

• Anaesthesia: Conducted under general anaesthesia for a painless and safe procedure.
• Patient Positioning: Generally performed prone; modifications are done as required.
• Retrograde Step: A catheter is inserted into the ureter to assist contrast-based guidance.
• Access Tract Creation: A fine needle punctures the kidney, followed by guidewire and sheath dilation.
• Stone Disintegration: The stones are directly visualized and broken into small fragments using a Holmium laser.
• Drainage and Closure: Placement of a stent or nephrostomy tube may be done for smooth recovery.

After the Surgery: Post-Operative Care

• Hospital Stay: Discharge is usually within 24–48 hours.
• Monitoring: Urine output, pain, and any bleeding are observed.
• Pain Management: Minimal discomfort is managed with standard analgesics.
• Tube/Stent Care: If a stent or tube is placed, removal is scheduled in follow-up.
• Diet & Activity: Oral intake resumes the same day; light movement is encouraged by the next day.

Recovery Timeline

• Initial Recovery: Patients often return to light activity within 2–3 days.
• Complete Recovery: Full activity is usually possible within 1–2 weeks.
• Follow-Up: Imaging like ultrasound/X-ray is done to confirm stone clearance.
• Stent Removal: DJ stent, if used, is removed after 1–3 weeks.

Advantages of MiniPerc

• Smaller Tract: Minimizes kidney tissue injury and reduces bleeding risk.
• Less Pain: Fine instruments reduce postoperative discomfort.
• Better Cosmesis: Tiny incision results in negligible scarring.
• Faster Recovery: Patients resume normal activities sooner.
• Safe for Pediatric & Slim Patients: Ideal in children and lean adults.
• High Success Rate: Effective for stones not suitable for RIRS.